Document Detail


Percutaneous transarterial embolization of extrahepatic arteroportal fistula.
MedLine Citation:
PMID:  17007001     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Arteroportal fistula is a rare cause of prehepatic portal hypertension. A 44-year-old male with hepatitis virus C infection was admitted for acute variceal bleeding. Endoscopy showed the presence of large esophageal varices. The ultrasound revealed a mass near the head of pancreas, which was characterized at the color-Doppler by a turbulent flow, and arterialization of portal vein flow. CT scan of abdomen showed a large aneurysm of the gastroduodenal artery communicating into the superior mesenteric vein. The sinusoidal portal pressure measured as hepatic vein pressure gradient was normal, confirming the pre-hepatic origin of portal hypertension. The diagnosis of extrahepatic portal hypertension secondary to arteroportal fistula was established, and the percutaneous embolization was performed. Three months later, the endoscopy showed absence of esophageal varices and ascites. At the moment, the patient is in good clinical condition, without signs of portal hypertension.
Authors:
Gianluca Marrone; Settimo Caruso; Roberto Miraglia; Ilaria Tarantino; Riccardo Volpes; Angelo Luca
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  12     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-28     Completed Date:  2006-11-03     Revised Date:  2014-09-08    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  5562-4     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteriovenous Fistula / complications,  pathology,  therapy*
Embolization, Therapeutic / methods*
Esophageal and Gastric Varices
Hepatic Artery / abnormalities*
Humans
Hypertension, Portal / etiology
Liver Circulation
Magnetic Resonance Imaging
Male
Portal Vein / abnormalities*
Tomography, X-Ray Computed
Comments/Corrections

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